CreatedrBy:rArSolutionr
Test Bank for Current Diagnosis and Treatment Pe
r r r r r r r
diatrics, 24th Edition by William Hay Test Bank 202
r r r r r r r r
4 A+r
Chapter 1: The Newborn Infant
r r r r
CurrentrDiagnosisrandrTreatmentrPediatrics,r24thrEditionrTestrBankrMultiplerChoice
1. Whichrmilestonerisrdevelopmentallyrappropriaterforrar2-month-
oldrinfantrwhenrthernurserpullsrtherinfantrtorarsittingrposition?
a. Headrlagrisrpresentrwhenrtherinfantsrtrunkrisrlifted.
b. Therinfantrisrablertorsupportrtherheadrwhenrthertrunkrisrlifted.
c. Therinfantrisrbrieflyrablertorholdrtherheadrerect.
d. Therinfantrisrfullyrablertorsupportrandrholdrtherheadrinrarstraightrline.
ANS:rC
Ar2-month-
oldrinfantrisrablertorholdrtherheadrerectronlyrbrieflyrandrcontinuesrtorhaversomerheadrlag.rItrisrnotruntilr
4rmonthsrofragerthatrtherinfantrcanrkeeprhisrorrherrheadrinrarstraightrlinerwhenrpulledrtorarsittingrpositi
on.
2.
Approximatelyrwhatrshouldrarnewbornrweighratr1ryearrofragerifrthernewbornsrbirthrweightrwa
sr7rpoundsr6rounces?
a. 14r3/4rpounds
b. 22r1/8rpounds
c. 29r1/2rpounds
d. Unablertorestimaterweightratr1ryear
A+ Pager1
,CreatedrBy:rArSolutionr
ANS:rB
Anrinfantrtriplesrtherbirthrweightrbyr1ryearrofrage.rAnrinfantrdoublesrtherbirthrweightrbyr6rmonthsrofra
ge.rAnrinfantrquadruplesrtherbirthrweightrbyr2ryearsrofrage.rWeightratr6rmonths,r1ryear,randr2ryearsrofr
agercanrberestimatedrfromrtherbirthrweight.
r
3. Whichrstatementrmaderbyrarparentrwouldrberconsistentrwithrardevelopmentalrdelay?
a. Irhavernoticedrthatrmyr9-month-oldrinfantrrespondsrconsistentlyrtorthersoundrofrhisrname.
b. Irhavernoticedrthatrmyr12-month-
oldrchildrdoesrnotrgetrherselfrtorarsittingrpositionrorrpullrtorstand.
c. Iramrsorhappyrwhenrmyr1r1/2-month-oldrinfantrsmilesratrme.
d. Myr5-month-oldrinfantrisrnotrrollingroverrinrbothrdirectionsryet.
ANS:rB
Criticalrdevelopmentalrmilestonesrforrgrossrmotorrdevelopmentrinrar12rmonthroldrincluderstandingrb
rieflyrwithoutrsupport,rgettingrtorarsittingrposition,randrpullingrtorstand.rIfrar12-month-
r oldrchildrdoesrnotrperformrtheseractivities,ritrmayrberindicativerofrardevelopmentalrdelay.rAnrinfantr
whorrespondsrtorhisrnameratr9rmonthsrofragerisrdemonstratingrabilitiesrtorbothrhearrandrinterpretrsoun
d.rArsocialrsmilerisrpresentrbyr2rmonthsrofrage.rRollingroverrinrbothrdirectionsrisrnotrarcriticalrmilesto
nerforrgrossrmotorrdevelopmentruntilrtherchildrreachesr6rmonthsrofrage.
4. Atrarhealthyr2-month-oldrinfantsrwell-
childrclinicrvisit,rthernursershouldrgiverwhichrimmunizations?
a. DTaP,rIPV,rHepB,rHib,rPCV,rrotavirus
b. MMR,rDTaP,rPVC,randrIPV
c. Hib,rDTaP,rrotavirus,randrOPV
d. HibrandrMMR,rIPV,randrrotavirus
ANS:rA
A+ Pager2
,CreatedrBy:rArSolutionr
DTaP,rIPV,rHepB,rHib,rPCV,randrrotavirusrarertherappropriatersequencerofrimmunizationsrforrarheal
thyr2-month-
oldrinfant.rMMRrisrgivenratrorrafterr12rmonthsrofrage.rOralrpoliorvacciner(OPV)risrnorlongerradminist
eredrinrtherU.S.
5. Thernurseradvisesrthermotherrofrar3-month-oldrinfant,rexclusivelyrbreast-fed,rto:
a. startrgivingrtherinfantrarvitaminrDrsupplement.
r
b. startrusingranrinfantrfeederrandraddrricercerealrtortherformula.
c. startrfeedingrtherinfantrricercerealrwithrarspoonratrthereveningrfeeding.
d. continuerbreast-feedingrwithoutranyrsupplements.
ANS:rA
BreastrmilkrdoesrnotrprovideranradequateramountrofrdietaryrvitaminrD.rInfantsrwhorarerexclusivelyrb
reast-
fedrneedrvitaminrDrsupplementsrtorpreventrrickets.rAnrinfantrfeederrisranrinappropriatermethodrofrpr
ovidingrtherinfantrwithrcaloricrintake.rSolidrfoodsrandrricercerealrarernotrrecommendedrforrar3-
month-
oldrinfant.rSolidrfeedingsrdornotrtypicallyrbeginrbeforer4rtor6rmonthsrofrage.rBecauserbreastrmilkrisrno
tranradequatersourcerofrfluoride,rinfantsrneedrtorbergivenrarfluoridersupplement.
6. At monthsrofrage,ranrinfantrshouldrfirstrberexpectedrtorlocateranrobjectrhiddenrfromrview.
a. 4
b. 6
c. 9
d. 20
ANS:rC
A+ Pager3
, CreatedrBy:rArSolutionr
Byr9rmonthsrofrageranrinfantrwillractivelyrsearchrforranrobjectrthatrisroutrofrsight.rFour-month-
r oldrinfantsrarernotrcognitivelyrcapablerofrsearchingroutrobjectsrhiddenrfromrtheirrview.rInfantsratrthisr
developmentalrlevelrdornotrpursuerhiddenrobjects.rSix-month-
oldrinfantsrhavernotrdevelopedrtherabilityrtorperceiverobjectsrasrpermanentrandrdornotrsearchroutrobje
ctsrhiddenrfromrtheirrview.rTwenty-month-
oldrinfantsractivelyrpursuerobjectsrnotrinrtheirrviewrandrarercapablerofrrecallingrtherlocationrofranrobje
ctrnotrinrtheirrview.rTheyrfirstrlookrforrhiddenrobjectsraroundrtheragerofr9rmonths.
7.
Therparentsrofrarnewbornrinfantrstate,rWerwillrprobablyrnotrhaverourrbabyrimmunizedrbecaus
erwerarerconcernedraboutrtherriskrofrourrchildrbeingrinjured.rWhichrisrtherbestrresponserforrthernursert
ormake?
r
a. Itrisryourrdecision.
b.
Haveryourtalkedrwithryourrparentsraboutrthis?rTheyrcanrprobablyrhelpryourthinkraboutrthisrde
cision.
c. Therrisksrofrnotrimmunizingryourrbabyrarergreaterrthanrtherrisksrfromrtherimmunizations.
d. Yourarermakingrarmistake.
ANS:rC
Althoughrimmunizationsrhaverbeenrdocumentedrtorhaverarnegativereffectrinrarsmallrnumberrofrcases,
r anrunimmunizedrinfantrisratrgreaterrriskrforrdevelopmentrofrcomplicationsrfromrchildhoodrdiseasesrt
hanrfromrthervaccines.rItrisrtherparentsrdecisionrnotrtorimmunizertherchild;rhowever,rthernurserhasrarre
sponsibilityrtorinformrparentsraboutrtherrisksrtorinfantsrwhorarernotrimmunized.rGrandparentsrcanrber
supportiverbutrarernotrtherprimaryrdecisionrmakersrforrtherinfant.rTellingrparentsrthatrtheyrarermakin
grarmistakerisranrinappropriaterresponse.
A+ Pager4
Test Bank for Current Diagnosis and Treatment Pe
r r r r r r r
diatrics, 24th Edition by William Hay Test Bank 202
r r r r r r r r
4 A+r
Chapter 1: The Newborn Infant
r r r r
CurrentrDiagnosisrandrTreatmentrPediatrics,r24thrEditionrTestrBankrMultiplerChoice
1. Whichrmilestonerisrdevelopmentallyrappropriaterforrar2-month-
oldrinfantrwhenrthernurserpullsrtherinfantrtorarsittingrposition?
a. Headrlagrisrpresentrwhenrtherinfantsrtrunkrisrlifted.
b. Therinfantrisrablertorsupportrtherheadrwhenrthertrunkrisrlifted.
c. Therinfantrisrbrieflyrablertorholdrtherheadrerect.
d. Therinfantrisrfullyrablertorsupportrandrholdrtherheadrinrarstraightrline.
ANS:rC
Ar2-month-
oldrinfantrisrablertorholdrtherheadrerectronlyrbrieflyrandrcontinuesrtorhaversomerheadrlag.rItrisrnotruntilr
4rmonthsrofragerthatrtherinfantrcanrkeeprhisrorrherrheadrinrarstraightrlinerwhenrpulledrtorarsittingrpositi
on.
2.
Approximatelyrwhatrshouldrarnewbornrweighratr1ryearrofragerifrthernewbornsrbirthrweightrwa
sr7rpoundsr6rounces?
a. 14r3/4rpounds
b. 22r1/8rpounds
c. 29r1/2rpounds
d. Unablertorestimaterweightratr1ryear
A+ Pager1
,CreatedrBy:rArSolutionr
ANS:rB
Anrinfantrtriplesrtherbirthrweightrbyr1ryearrofrage.rAnrinfantrdoublesrtherbirthrweightrbyr6rmonthsrofra
ge.rAnrinfantrquadruplesrtherbirthrweightrbyr2ryearsrofrage.rWeightratr6rmonths,r1ryear,randr2ryearsrofr
agercanrberestimatedrfromrtherbirthrweight.
r
3. Whichrstatementrmaderbyrarparentrwouldrberconsistentrwithrardevelopmentalrdelay?
a. Irhavernoticedrthatrmyr9-month-oldrinfantrrespondsrconsistentlyrtorthersoundrofrhisrname.
b. Irhavernoticedrthatrmyr12-month-
oldrchildrdoesrnotrgetrherselfrtorarsittingrpositionrorrpullrtorstand.
c. Iramrsorhappyrwhenrmyr1r1/2-month-oldrinfantrsmilesratrme.
d. Myr5-month-oldrinfantrisrnotrrollingroverrinrbothrdirectionsryet.
ANS:rB
Criticalrdevelopmentalrmilestonesrforrgrossrmotorrdevelopmentrinrar12rmonthroldrincluderstandingrb
rieflyrwithoutrsupport,rgettingrtorarsittingrposition,randrpullingrtorstand.rIfrar12-month-
r oldrchildrdoesrnotrperformrtheseractivities,ritrmayrberindicativerofrardevelopmentalrdelay.rAnrinfantr
whorrespondsrtorhisrnameratr9rmonthsrofragerisrdemonstratingrabilitiesrtorbothrhearrandrinterpretrsoun
d.rArsocialrsmilerisrpresentrbyr2rmonthsrofrage.rRollingroverrinrbothrdirectionsrisrnotrarcriticalrmilesto
nerforrgrossrmotorrdevelopmentruntilrtherchildrreachesr6rmonthsrofrage.
4. Atrarhealthyr2-month-oldrinfantsrwell-
childrclinicrvisit,rthernursershouldrgiverwhichrimmunizations?
a. DTaP,rIPV,rHepB,rHib,rPCV,rrotavirus
b. MMR,rDTaP,rPVC,randrIPV
c. Hib,rDTaP,rrotavirus,randrOPV
d. HibrandrMMR,rIPV,randrrotavirus
ANS:rA
A+ Pager2
,CreatedrBy:rArSolutionr
DTaP,rIPV,rHepB,rHib,rPCV,randrrotavirusrarertherappropriatersequencerofrimmunizationsrforrarheal
thyr2-month-
oldrinfant.rMMRrisrgivenratrorrafterr12rmonthsrofrage.rOralrpoliorvacciner(OPV)risrnorlongerradminist
eredrinrtherU.S.
5. Thernurseradvisesrthermotherrofrar3-month-oldrinfant,rexclusivelyrbreast-fed,rto:
a. startrgivingrtherinfantrarvitaminrDrsupplement.
r
b. startrusingranrinfantrfeederrandraddrricercerealrtortherformula.
c. startrfeedingrtherinfantrricercerealrwithrarspoonratrthereveningrfeeding.
d. continuerbreast-feedingrwithoutranyrsupplements.
ANS:rA
BreastrmilkrdoesrnotrprovideranradequateramountrofrdietaryrvitaminrD.rInfantsrwhorarerexclusivelyrb
reast-
fedrneedrvitaminrDrsupplementsrtorpreventrrickets.rAnrinfantrfeederrisranrinappropriatermethodrofrpr
ovidingrtherinfantrwithrcaloricrintake.rSolidrfoodsrandrricercerealrarernotrrecommendedrforrar3-
month-
oldrinfant.rSolidrfeedingsrdornotrtypicallyrbeginrbeforer4rtor6rmonthsrofrage.rBecauserbreastrmilkrisrno
tranradequatersourcerofrfluoride,rinfantsrneedrtorbergivenrarfluoridersupplement.
6. At monthsrofrage,ranrinfantrshouldrfirstrberexpectedrtorlocateranrobjectrhiddenrfromrview.
a. 4
b. 6
c. 9
d. 20
ANS:rC
A+ Pager3
, CreatedrBy:rArSolutionr
Byr9rmonthsrofrageranrinfantrwillractivelyrsearchrforranrobjectrthatrisroutrofrsight.rFour-month-
r oldrinfantsrarernotrcognitivelyrcapablerofrsearchingroutrobjectsrhiddenrfromrtheirrview.rInfantsratrthisr
developmentalrlevelrdornotrpursuerhiddenrobjects.rSix-month-
oldrinfantsrhavernotrdevelopedrtherabilityrtorperceiverobjectsrasrpermanentrandrdornotrsearchroutrobje
ctsrhiddenrfromrtheirrview.rTwenty-month-
oldrinfantsractivelyrpursuerobjectsrnotrinrtheirrviewrandrarercapablerofrrecallingrtherlocationrofranrobje
ctrnotrinrtheirrview.rTheyrfirstrlookrforrhiddenrobjectsraroundrtheragerofr9rmonths.
7.
Therparentsrofrarnewbornrinfantrstate,rWerwillrprobablyrnotrhaverourrbabyrimmunizedrbecaus
erwerarerconcernedraboutrtherriskrofrourrchildrbeingrinjured.rWhichrisrtherbestrresponserforrthernursert
ormake?
r
a. Itrisryourrdecision.
b.
Haveryourtalkedrwithryourrparentsraboutrthis?rTheyrcanrprobablyrhelpryourthinkraboutrthisrde
cision.
c. Therrisksrofrnotrimmunizingryourrbabyrarergreaterrthanrtherrisksrfromrtherimmunizations.
d. Yourarermakingrarmistake.
ANS:rC
Althoughrimmunizationsrhaverbeenrdocumentedrtorhaverarnegativereffectrinrarsmallrnumberrofrcases,
r anrunimmunizedrinfantrisratrgreaterrriskrforrdevelopmentrofrcomplicationsrfromrchildhoodrdiseasesrt
hanrfromrthervaccines.rItrisrtherparentsrdecisionrnotrtorimmunizertherchild;rhowever,rthernurserhasrarre
sponsibilityrtorinformrparentsraboutrtherrisksrtorinfantsrwhorarernotrimmunized.rGrandparentsrcanrber
supportiverbutrarernotrtherprimaryrdecisionrmakersrforrtherinfant.rTellingrparentsrthatrtheyrarermakin
grarmistakerisranrinappropriaterresponse.
A+ Pager4
